Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.50 / $3,601.00 / $9,866.45	Facility		$879.50	$3,601.00	$9,866.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,758.96 / $6,706.32 / $12,900.05	Facility		$3,758.96	$6,706.32	$12,900.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $361.38 / $2,525.87 / $4,050.00	Facility		$361.38	$2,525.87	$4,050.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $650.27 / $4,470.76 / $4,470.76	Facility		$650.27	$4,470.76	$4,470.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,143.70 / $4,143.70 / $5,065.00	Facility		$4,143.70	$4,143.70	$5,065.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $169.09 / $1,551.97 / $1,551.97	Facility	AS	$169.09	$1,551.97	$1,551.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.01 / $983.75 / $1,826.38	Facility		$733.01	$983.75	$1,826.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.00 / $983.98 / $1,909.27	Facility		$733.00	$983.98	$1,909.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.68 / $283.68 / $283.68	Facility	80	$283.68	$283.68	$283.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.13 / $241.13 / $241.13	Facility	AS	$241.13	$241.13	$241.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $16,000.00	Facility		$2,093.00	$6,000.00	$16,000.00